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Wisconsin rates for HCPCS J2780

Injection, ranitidine hydrochloride, 25 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $15.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $7.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $10.72 / $10.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76